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Sen. Ron Wyden, D-Ore., says he will not collaborate on a new Medicare reform bill with Rep. Paul Ryan, R-Wis. The two lawmakers in 2011 floated a plan that would have allowed seniors to choose between a subsidy to pay for private insurance and standard Medicare. "House Republicans couldn't even deliver enough of their own votes for the white paper," Wyden said. "Now they've moved even further away from Democrats on Medicare."

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Reduced payments to Medicare Advantage plans will harm seniors' access to care, according to AHIP. "Washington cannot tax and cut Medicare Advantage this much and not expect seniors to be harmed," AHIP President and CEO Karen Ignagni said in a statement. "These changes will disrupt coverage for Medicare Advantage beneficiaries at a time when evidence clearly demonstrates that Medicare Advantage provides higher-quality care than the fee-for-service part of Medicare."

U.S. Rep. Paul Ryan, R-Wis., says the proposal he and Sen. Ron Wyden, D-Ore., created to give the elderly a choice between Medicare and private insurance plans could provide a framework for reshaping the government program. "What we're trying to do here is plant the seeds for future bipartisan compromises," Ryan said.

Rep. Paul Ryan, R-Wis., and Sen. Ron Wyden, D-Ore., reportedly plan to reveal a white paper today on a proposal that would revamp Medicare by keeping the program intact but allowing seniors to opt for private insurance. The plan is said to be a significant departure from Ryan's first proposal, which would have privatized Medicare.

Under a new Medicare proposal from Rep. Paul Ryan, R-Wisc., and Senator Ron Wyden, D-Ore., private plans would compete with the traditional Medicare program and would have to provide benefits of the same or greater value.